Individual provider Active NPI

Joseph Norman Sisley, O.D.

  • Optometrist
  • Tell City, IN
National Provider Identifier
1043471287
Registry record updated Jun 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
18003513A Issued in IN
Practice address
8570 Highway 37
Tell City, IN 47586
Phone
(812) 547-3396
Fax
(812) 547-3396
NPI assigned
Jun 20, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 18003513A IN Primary

Addresses

Primary practice location

8570 Highway 37
Tell City, IN 47586

Mailing address

8570 Highway 37
Tell City, IN 47586
Phone (812) 547-3396

Other identifiers 1

IdentifierTypeStateIssuer
200904680MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080815000646 IN Practitioner - Optometry 3375618986 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eric Burris and Joseph Leclere Et Al Burris Leclere LLCGroup PAC ID 9032230305, 3 clinicians

Practice addresses (Care Compare)

715 Main St
Tell City, IN 47586-1705
Phone (812) 547-3396

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery69

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18003513AINMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eric Burris & Joseph Leclere Et Al Burris Leclere LLC Optometrist CurrentSince Mar 1, 2020 Accepting new patients
Midwest Eye Consultants, P.C. Optometrist Past Accepting new patients
Midwest Eye Consultants, P.C. Optometrist Past Accepting new patients
Midwest Eye Consultants, P.C. Optometrist Past Accepting new patients
Midwest Eye Consultants, PC Optometrist Past Accepting new patients

Locations

715 Main St
Tell City, IN 47586
Phone (812) 482-6424

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1213920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719532800000",
    "number": "1043471287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8570 HIGHWAY 37",
            "city": "TELL CITY",
            "state": "IN",
            "postal_code": "47586",
            "telephone_number": "812-547-3396",
            "fax_number": "812-547-5272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8570 HIGHWAY 37",
            "city": "TELL CITY",
            "state": "IN",
            "postal_code": "47586",
            "telephone_number": "812-547-3396",
            "fax_number": "812-547-3396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SISLEY",
        "first_name": "JOSEPH",
        "middle_name": "NORMAN",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-20",
        "last_updated": "2024-06-28",
        "certification_date": "2024-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18003513A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200904680",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tell City, IN

Sources for this page

Verify at the official NPI Registry.